Proximal Humeral Fractures
Proximal humeral fractures are particularly common in the elderly. A few people have axillary nerve or artery injury (which reduces sensation across the middle deltoid).
Contractures can form after just a few days of immobilisation, especially in the elderly.
Most of these fractures result from a fall on an outstretched arm; less often, a direct blow is involved.
One- and 2-part fractures of the proximal humerus
If no structures are displaced or angulated, the fracture has one part. If one structure is angulated or displaced, the fracture has 2 parts.
Symptoms
The shoulder and upper arm are painful and swollen; patients have difficulty raising their arm.
Treatment
A sling and early range-of-motion exercises are usually used.
Open reduction with internal fixation (ORIF) or prosthetic joint replacement are sometimes used.
Immobilization in a sling, occasionally with a swath (see figure Joint immobilisation as acute treatment: Some commonly used procedures ), and early range-of-motion exercises, such as Codman exercises, are used to treat one-part fractures. These workouts are very beneficial for seniors. Because contractures can occur, it's best to mobilise as soon as possible, even if the alignment isn't perfect
Classify proximal humeral fractures according to the number of displaced or angulated key humeral features (anatomic neck, surgical neck, larger tuberosity, lesser tuberosity).
Almost all of them merely need a sling.
Patients, especially those over the age of 60, should begin range-of-motion exercises as soon as possible.
Our Treatment Process
1
Introduction & Connection
We begin with a friendly discussion to understand your medical needs and build a foundation of trust for your treatment journey.
2
Assessment & Treatment Planning
Our experts evaluate your reports and design a personalized treatment plan with complete travel and visa support.
3
Treatment & Recovery
You’ll receive advanced medical care and guided rehabilitation for a smooth, safe, and speedy recovery.
4
Review & Ongoing Support
We continue to monitor your progress through online follow-ups, ensuring long-term health and comfort.
